2023 Plan Information for California
Choose a Location, Employee Type, & Payment Period
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Location Specific Rates
Contract | Enrollment Code | Enrollment Type | Option/Enrollment Type | Payment Period | Employee Payment |
---|---|---|---|---|---|
Aetna Direct | 224 | Non-Postal | HDHP Self | Monthly | 269.92 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 511.92 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 586.26 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.35 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 404.39 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 351.67 |
Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 603.67 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1334.15 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1418.08 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 544.24 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1202.31 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1287.61 |
Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 535.68 |
Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 1253.98 |
Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 1313.72 |
Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 198.96 |
Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 441.31 |
Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 404.11 |
Blue Shield of California Access+ HMO | SI1 | Non-Postal | Access + HMO Self | Monthly | 392.66 |
Blue Shield of California Access+ HMO | SI2 | Non-Postal | Access + HMO Self & Family | Monthly | 872.69 |
Blue Shield of California Access+ HMO | SI3 | Non-Postal | Access + HMO Self Plus One | Monthly | 887.42 |
Health Net of California | LB1 | Non-Postal | High Self | Monthly | 1126.12 |
Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 2728.49 |
Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 2500.98 |
Health Net of California | LP1 | Non-Postal | High Self | Monthly | 523.7 |
Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 1282.69 |
Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 1175.68 |
Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 101.44 |
Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 243.46 |
Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 223.17 |
Health Net of California | P64 | Non-Postal | Standard Self | Monthly | 183.2 |
Health Net of California | P65 | Non-Postal | Standard Self & Family | Monthly | 439.68 |
Health Net of California | P66 | Non-Postal | Standard Self Plus One | Monthly | 403.04 |
Health Net of California | T41 | Non-Postal | Basic Self | Monthly | 383.87 |
Health Net of California | T42 | Non-Postal | Basic Self & Family | Monthly | 947.1 |
Health Net of California | T43 | Non-Postal | Basic Self Plus One | Monthly | 868.05 |
Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 256.01 |
Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 567.52 |
Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 677.8 |
Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 147.02 |
Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 339.8 |
Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 339.8 |
Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 430.08 |
Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1045.2 |
Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1155.48 |
Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 243.42 |
Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 561.69 |
Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 671.97 |
Kaiser Permanente - Northern California | KC1 | Non-Postal | Prosper Self | Monthly | 162.57 |
Kaiser Permanente - Northern California | KC2 | Non-Postal | Prosper Self & Family | Monthly | 380.42 |
Kaiser Permanente - Northern California | KC3 | Non-Postal | Prosper Self Plus One | Monthly | 380.42 |
Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 216.51 |
Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 476.24 |
Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 586.52 |
Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 132 |
Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 305.08 |
Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 305.08 |
Kaiser Permanente - Southern California | FL1 | Non-Postal | Prosper Self | Monthly | 91.33 |
Kaiser Permanente - Southern California | FL2 | Non-Postal | Prosper Self & Family | Monthly | 255.74 |
Kaiser Permanente - Southern California | FL3 | Non-Postal | Prosper Self Plus One | Monthly | 210.07 |